Most Relevant Information
Provider Data
| NPI Number: | 1003282906 |
| Provider Name: | NICHOLE MCFADDEN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2015 |
| Last Updated: | 08/13/2015 |
Provider Practice Location
5008 BARNEY RD
TRAVERSE CITY
MI
496847185
Practice Location Phone/Fax
| Phone: | 2319293292 |
| Fax: |
Provider Mailing Location
5008 BARNEY RD
TRAVERSE CITY
MI
496847185
Provider Mailing Phone/Fax
| Phone: | 2319293292 |
| Fax: |